| LCA CASE NUMBER | I-200-21106-229838 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-15 |
| DECISION DATE | 2021-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Gastroenterologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | KIDZ MEDICAL SERVICES, INC. |
| TRADE NAME DBA | CRITICAL CARE NEWBORN SERVICES |
| EMPLOYER ADDRESS1 | 5955 Ponce De Leon Blvd. |
| EMPLOYER CITY | Coral Gables |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33146 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13056611515 |
| NAICS CODE | 621493 |
| EMPLOYER POC LAST NAME | Macconnell |
| EMPLOYER POC FIRST NAME | George |
| EMPLOYER POC MIDDLE NAME | Thomas |
| EMPLOYER POC JOB TITLE | CHIEF FINANCIAL/OPERATIONS OFFICER |
| EMPLOYER POC ADDRESS 1 | 5955 Ponce De Leon Blvd. |
| EMPLOYER POC CITY | CORAL GABLES |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33146 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13056611515 |
| EMPLOYER POC PHONE EXT | 244 |
| EMPLOYER POC EMAIL | gmacconnell@kidzmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gari |
| AGENT ATTORNEY FIRST NAME | Natalia |
| AGENT ATTORNEY ADDRESS1 | 200 S Biscayne Blvd |
| AGENT ATTORNEY ADDRESS2 | suite 4650 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13057772677 |
| AGENT ATTORNEY EMAIL ADDRESS | ngari@corderoassociates.com |
|
| LAWFIRM NAME BUSINESS NAME | Cordero and Associates PA |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | FL |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | South Broward Hospital District |
| WORKSITE ADDRESS1 | 1005 Joe di Maggio Blvd |
| LCA CASE WORKLOC1 CITY | Hollywood |
| WORKSITE COUNTY | BROWARD |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33021 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE TO | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 133307 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
